Pre-submission scrubbing
Automated and manual checks against payer-specific edits, required fields and formatting rules.
Claims submission
Medical Claims Submission Services
A claim that reaches the payer with an error costs days. Our submission service runs rule-based scrubbing against payer edits before filing, confirms clearinghouse acceptance after filing, and corrects rejections quickly so claims keep moving toward adjudication.
What claims submission includes
Electronic filing
Claims transmitted in each payer's required format through your clearinghouse.
Acknowledgement tracking
Clearinghouse and payer acceptance reports reviewed so no claim is assumed received.
Rejection correction
Front-end rejections corrected and refiled quickly, with the cause documented.
Batch oversight
Submission batches monitored end to end so a failed batch does not sit unnoticed.
How CareEase Revenue helps
- Errors are removed before the payer sees them, not after a denial letter arrives.
- Acceptance reports are actually read, so silent transmission failures are caught.
- Rejection causes are categorized and shared, which reduces the same error next month.
- Submission cadence stays consistent regardless of front-office workload.
Key benefits
Higher clean-claim rate
More claims are accepted on first pass and adjudicate without rework.
Shorter payment timeline
Fewer rejection round-trips means fewer days waiting on payment.
No lost batches
Every submission is reconciled against an acknowledgement.
Actionable error data
You learn which fields, payers and workflows generate rejections.
How the process works
- Step 01
Claim intake
Completed claims are queued for validation after charge entry and coding.
- Step 02
Scrubbing
Payer edits, required data and formatting rules are applied and failures held back.
- Step 03
Transmission
Validated claims are filed electronically in the payer's required format.
- Step 04
Reconciliation
Acknowledgements are matched to submissions and rejections are worked immediately.
Who this service is for
- Practices with a high front-end rejection rate
- Clinics filing to many payers with differing edit rules
- Practices where submission batches are not reconciled today
- Groups that code and bill internally but want submission handled
Frequently asked questions
What is claim scrubbing?
Scrubbing is a validation pass that checks a claim against payer rules, required fields and formatting before submission, so avoidable errors are fixed first.
What is the difference between a rejection and a denial?
A rejection is a claim refused before adjudication, usually for data or format issues. A denial is an adjudicated decision not to pay, which is handled through denial management and appeals.
Do you use our clearinghouse?
Yes. We work through the clearinghouse and practice management system your practice already uses.
Talk to us about claims submission
Tell us about your practice, payers and current workflow. We typically respond within 1 business day.
Request a consultation